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Wisconsin rates for HCPCS 51940

Closure Exstrophy Bladder

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,645.59 / $3,336.30 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,541.98 / $1,681.18 / $5,469.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $10,705.54 / $18,141.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,611.71 / $4,278.96 / $11,133.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,181.20 / $4,886.06 / $7,881.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,209.37 / $5,069.08 / $6,687.34
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,482.80 / $1,925.34 / $3,248.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,631.08 / $2,803.00 / $7,700.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,860.13 / $4,402.37 / $11,032.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $1,074.73 / $3,391.75
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,482.80 / $1,925.34 / $3,248.97
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,181.75 / $4,913.10 / $6,644.76
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,303.15 / $13,303.15 / $13,303.15
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,258.94 / $8,004.30 / $15,376.51
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,340.23 / $8,340.23 / $8,340.23
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,809.80 / $9,585.08 / $9,585.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,859.21 / $4,698.78 / $7,843.65